Evidence map›Paper›PMID 33518561›Full record

ArticleInternal medicine (Tokyo, Japan)2021

Methotrexate-induced Transient Encephalopathy in an Adolescent and Young Adult Patient with Acute Lymphoblastic Leukemia.

Kazuaki Teshima, Masaaki Kume, Rui Kondo, Kenichi Shibata, Ko Abe, Hiroaki Aono, Susumu Fushimi, Satoshi Takahashi, Satsuki Takahashi, Masahiro Saito and 1 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Kazuaki TeshimaDepartment of Hematology, Hiraka General Hospital, Japan.
Masaaki KumeDepartment of Hematology, Hiraka General Hospital, Japan.
Rui KondoDepartment of Neurosurgery, Hiraka General Hospital, Japan.
Kenichi ShibataDepartment of Neurosurgery, Hiraka General Hospital, Japan.
Ko AbeDepartment of Hematology, Hiraka General Hospital, Japan.
Hiroaki AonoDepartment of Neurosurgery, Hiraka General Hospital, Japan.
Susumu FushimiDepartment of Neurosurgery, Hiraka General Hospital, Japan.
Satoshi TakahashiDepartment of Radiology, Hiraka General Hospital, Japan.
Satsuki TakahashiDepartment of Diagnostic Pathology, Hiraka General Hospital, Japan.
Masahiro SaitoDepartment of Diagnostic Pathology, Hiraka General Hospital, Japan.
Naoto TakahashiDepartment of Hematology, Nephrology and Rheumatology, Akita University Graduate School of Medicine, Japan.
Hiraka General Hospital · JPAkita University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 17-year-old girl was diagnosed with acute lymphoblastic leukemia (ALL). After the administration of high-dose methotrexate (MTX) or intrathecal MTX, the patient experienced transient hemiparesis and motor aphasia. Diffusion-weighted magnetic resonance imaging showed a high-intensity lesion in the bilateral centrum semiovale, and a vasospasm was detected in the proximal segment of bilateral A1 on magnetic resonance angiography. Edaravone was administered, and leucovorin rescue treatment was continued; eventually, the patient's neurological symptoms completely resolved. This finding suggested that vasospasm might be a mechanism underlying MTX-induced transient encephalopathy in adolescent and young adult patients with ALL.

Indexed as

Brain DiseasesPrecursor Cell Lymphoblastic Leukemia-LymphomaAdolescentDiffusion Magnetic Resonance ImagingFemaleHumansMethotrexateParesisYoung AdultMethotrexateacute lymphoblastic leukemiaadolescent and young adultmethotrexatetransient encephalopathyvasospasm

Identifiers

PMID33518561
PMCPMC8313907
OpenAlexW3126654472

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.